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Open sinus lift surgery
An open sinus lift is a form of surgery for increasing the quantity of bone in the sinus and posterior region of the upper jaw. The purpose of the procedure is to restore bone volume for successful implant placement. Dental implantation is the most effective, best-quality, comfortable and natural method of tooth restoration. An osteoplastic surgery of the maxillary sinus floor is a common procedure for dental implants. The price of an open sinus lift surgery depends on the experience of the doctor, the materials used and individual characteristics of the clinical case. You can sign up for this procedure at Axioma Dental Clinic. Since our dental doctors are highly qualified and have extensive experience, the operation is performed with high quality and painlessly.
Open sinus lift video
Indications for the surgery
Indications for the surgery include bone atrophy and insufficient bone height for successful implant placement. Bone atrophy, which is an unavoidable consequence of tooth loss, is common with most people. When no mastication (chewing) takes place and the jaw is not subjected to pressure as required, the process of bone rarefication dominates over bone formation. That is why patients are advised to undergo prosthetic restoration immediately after tooth extraction.
Causes of atrophy and indications for an open sinus lift surgery:
- Early loss of molars.
- Insufficient bone quantity in the posterior region of the jaw.
- Traumatic injuries.
- Oral diseases experienced in the past (osteomyelitis, periostitis, tumours).
- Individual anatomical features.
Procedure
Open sinus lift surgery is a minor intervention, which, nevertheless, requires a lot of care. Its purpose is to augment the bone plate which is located between the alveolar ridge of the upper jaw and the maxillary sinus floor. The are two sinus lift technologies applied for treatment: open and closed surgery.
An open sinus lift surgery is performed in case of substantial bone deficiency, when the bone septum is less than 4 mm. The operation is performed from the posterior wall of the upper jaw, from the cheek side. A closed surgery, which is less traumatic, is indicated when the jaw bone thickness is 4 to 8 mm. The sinus is accessed from the side of the alveolar ridge and this procedure is often performed simultaneously with the implant surgery.
An open sinus lift surgery can be single or double depending on whether the procedure is performed from one side or from both sides of the jaw at the same time. A human has two sinuses - on the left and on the right. In case of complete edentulism (all teeth missing), a double sinus lift is performed. The suitable type of intervention is selected by the doctor, who will take into account indications and individual features.
An open sinus lift surgery is performed with special instruments after a careful medical examination, elimination of contraindications and preparation, which includes treatment of oral diseases and professional hygiene. The relevant jaw region is anaesthetized. Local anaesthesia is more frequently applied than general anaesthesia or sedation.
An open upper jaw sinus lift surgery is performed by dissecting the gum in the maxillary sinus projection area and separating the soft tissues carefully. A small bone window is made using special instruments. The doctor delicately elevates the mucosa covering the sinus in the middle and places a bone biomaterial. A special membrane is inserted or, alternatively, the intervention area is filled with an osteoplastic material. The soft tissues are sutured, stitches are put in, and the patient is given further recommendations.
Recommendations on post-surgical recovery
The rehabilitation period lasts for about two weeks. In the post-surgical period, it is necessary to follow the dental doctor’s advice, which will ensure a quick recovery and excellent results, and reduce the risk of complications. The patient should provide favorable conditions for tissue healing.
Recommendations for patients:
- Remove the swab from the wound after 15-20 minutes.
- Do no eat during the first two hours.
- Eat soft gentle food for 5-6 days.
- Avoid spicy, hot or salty dishes.
- Do hygienic cleaning of your teeth every day.
- Rinse your mouth with an antiseptic after eating.
- Sneeze with your mouth closed.
- Raise your pillow a little during sleep to prevent bleeding during the first days.
- Take medication prescribed by your doctor (anti-inflammatory, anaesthetic and antimicrobial drugs).
The following activities are not allowed during 1-2 weeks after a sinus lift surgery.
- Physical exertion.
- Taking a sauna or a hot bath.
- Flying.
- Diving.
- Blowing your nose.
- Inflating a balloon with your mouth.
- Drinking with a straw.
- Touching the affected site.
Possible complications
All doctor’s recommendations must be strictly followed, otherwise there is a risk of complications. Swelling, tumescence and tissue pain are normal reactions of the organism to a traumatic intervention. They appear after the anaesthetic wears off, intensify on the second or third day and eventually go away. To eliminate these reactions, the doctor prescribes effective medication. If the symptoms keep exacerbating after three days and do not abate, this could be a sign of inflammation or a developing complication.
Complications include wound inflammation on the gum, pus formation, bleeding, rupture of stitches, maxillary sinusitis, high temperature, bone graft rejection. Serious complications appear very rarely. If you are experiencing unpleasant symptoms or signs that the doctor didn’t warn about, you should visit the clinic for a preventive checkup. Stopping bleeding, correcting stitches and treating the wound with an antiseptic are simple and effective procedures.
It is normal for a small amount of liquid to form in the sinus. Wound healing is accompanied by exudate formation. This could cause slight rhinitis and a sense of heaviness in the sinus. There is no need to worry about these symptoms, but you should tell your doctor.
Contraindications
Serious diseases, such as AIDS, HIV, oncology, tuberculosis, syphilis, cardiovascular diseases, bone system diseases, schizophrenia, low immune function, can make the procedure impossible. We also need to add to the list conditions that are accompanied by blood clotting disorders, metabolic disorders and bone regeneration disorders. The procedure is postponed during pregnancy, the lactation period, acute viral and bacterial diseases.
Chronic maxillary sinus inflammation can affect the successful outcome of bone grafting. In this case, it is necessary to undergo proper treatment and preparation, and get permission from an otorhinolaryngologist.
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